SAMSUNG SDS CO.

, LTD
Samsung SDS Tower, 125 Olympic-ro 35-gil, Songpa-gu, Seoul, Korea
05510 Tel : +82-2-6155-1252

Vendor/Bank Account Registration Form

1. Company Information
BRINK´S CHILE S.A
Company Name
(ㆍ Business registration no : )
Address Olivos 778 , recoleta RM- CHILE
Tax Reg no.
Business Type Transport of valuables
ㆍ Name : Karim Siegle ㆍ Tel no : 2268800300 anexo 2861

Contact Details
ㆍ Fax no : ㆍ e-mail : ksiegle@brinks.cl

2. Bank Account Details

Bank Name BANCO SANTANDER CHILE

Bank Address
Bandera 140 , chile
(Tel no)

Branch Name Casa matriz

SWIFT / BIC Code

Bank Account Name

Account Currency

Bank Account No.

105140-7
(IBAN No.)

I, the undersigned, warrant that the information provided in this form is correct.
In the event of changes, details will be provided in writing as soon as possible.

Signature : Name : Maritza Ilabaca

Title : Lider operaciones BGS DATE : 03-03-2017

Ref. Only the person who is stated in the Business certificate or the POA(Power of Attorney) can
be authorized to sign this form